English Scholarship Application

Name (First Middle Last)

Street Address

City

State

Zip

Email Address

Phone Number

Birth Date

Parents' Names

Father's Occupation

Mother's Occupation

School Attended (9th To present)

Date Started

Date Ended

Additional High Schools

Date Started

Date Ended

Date of Graduation

Number in Class

Class Rank

GPA (4.0 Scale)

ACT (or equivalent college entrance exam) score:

Name of entrance exam if you took something OTHER THAN the ACT:

What college do you plan to attend?

What field of study do you plan to enter?

Of what 4-H club are you a member?

How long have you been a 4-H member?

1. Please LIST the activities in which you are involved (both in and out of school) including academics, extra-curricular activities, organizations, community service activities, church activities, after-school/summer job, etc.

2. Give an explanation about how you feel you benefit from the activities in which you are involved, and how you balance those activities:

3. From what activity or opportunity received through your involvement in 4-H do you feel you have benefitted the most? Please provide a brief explanation. 3. From what activity or opportunity received through your involvement in 4-H do you feel you have benefitted the most? Please provide a brief explanation.

4. Estimated cost per semester for tuition, books, and room and board of the college you plan to attend:

5. How do you plan to finance your college tuition? Please directly address financial need and/or special circumstances, as they will be considered when awarding the scholarship.

List ACT or SAT incentives if known:

A-Plus status and dollars allotted by the school if known:

Names and amounts of any scholarships you have received thus far:

6. Please state why you feel you would be a worthy recipient of the John & Kathryn English Memorial Scholarship Trust.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.